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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVAZ BOUKIA, PA-C

Active Sole Proprietor

REVAZ BOUKIA, PA-C is a Physician Assistant healthcare provider located in LINCOLN, Maine. NPI 1144638859 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LINCOLN, ME

Registration Details

NPI Number
1144638859
Provider Type
Individual
Gender
Male
NPI Issued
Jul 25, 2014 (12.013645428965 yrs)
Last Updated
Jul 25, 2014
Sole Proprietor
Yes

Practice Information

Address
252 ENFIELD RD
LINCOLN, ME, 044574146
Browse ME providers · Browse ZIP 04457
Phone
2077947215
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LINCOLN, ME

Name Credential NPI
KEVIN R OLSEN PA-C 1871553024
MS. KELLY FRANCES GARDNER MS PA-C 1295757524
MS. KATE YARROW MAURER PA-C 1174633630
MS. TAMMY SUE WEBB P.A. 1083826572
AMANDA ELIZABETH BUZZELL PAC 1831539899
ALEX J BRADDOCK PA-C 1437533460
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.